Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
Community Care Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
350 CHRISTIAN CHURCH RD, GRAY, TN 37615-4500
(423) 283-3060
(423) 283-7441
Mailing address
PO BOX 2204, JOHNSON CITY, TN 37605-2204
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD31588
TN
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD31588
TN
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up